Organization · Type 2 NPI

Baycare Clinic LLP

Oral & Maxillofacial Surgery (D.M.D.) · Green Bay, WI

NPI number 1174732572 Active

Practice location

2581 Development Dr
Green Bay, WI 54311-4247

Fax (920) 347-0868

Mailing address

PO Box 28900
Green Bay, WI 54324-0900

Specialties and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) Primary 204E00000XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

Oral & Maxillofacial Surgery (D.M.D.): Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the j…

12 other providers at this address

About NPI 1174732572

Baycare Clinic LLP's National Provider Identifier is 1174732572, issued on May 22, 2007. The primary taxonomy on file is Oral & Maxillofacial Surgery (D.M.D.) (204E00000X), and the practice location is in Green Bay, WI. The record was last updated on Aug 27, 2026.